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Individual

DR. ELSA ORDOUKHANIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
106 GRAND AVE, ENGLEWOOD, NJ 07631-3574
(201) 567-8884
(201) 567-1707
Mailing address
106 GRAND AVE, ENGLEWOOD, NJ 07631-3574
(201) 567-8884
(201) 567-1707

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA069838
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2179903
UNITED HEALTH CARE
NJ
01
7455634
CIGNA
NJ
01
P2013673
OXFORD
NJ
Enumeration date
08/10/2006
Last updated
07/08/2007
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